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Deactivated NPI 1861618456 Deactivated / Inactive NPI Male Practitioner

Dr. Joel Pedersen , DDS

Dentist • Salida, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Joel Pedersen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2007
NPI Deactivation Date January 07, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Joel Pedersen, DDS was a registered Dentist practicing in Salida, CA. Throughout an active medical career spanning 12 years, Dr. Pedersen provided care at the practice location at 5712 PIRRONE RD until profile deactivation on 2019-01-07.

Practice Location & Contact Primary Location

Practice Address

5712 Pirrone Rd

Salida, CA 953689313

Telephone 2095439299
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Salida, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Salida, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA D54806

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Efrain Toledo , DDS

Dentist - Pediatric Dentistry

NPI 1326241639

Doctor of Dental Surgery

NPI 1538385133

Doctor of Dental Surgery

NPI 1558587121

Doctor of Dental Surgery

Dr. Pankaj Patel , DMD

Dentist - General Practice

NPI 1578687570

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 07, 2019

Record deactivated on January 07, 2019

NPI Profile Active July 25, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 25, 2007

Registered at 5712 PIRRONE RD, SALIDA, CA 953689313 (Tel: 2095439299)

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Updated Business Mailing Address July 25, 2007

Registered at 5712 PIRRONE RD, SALIDA, CA 953689313 (Tel: 2095439299)

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Provider Name / Credentials Updated July 25, 2007

Recorded as JOEL PEDERSEN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2007

Dentist (License #D54806 in CA)

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Initial NPI Registration & Enumeration April 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861618456
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2007
Last Update: July 25, 2007
Deactivation Date: January 07, 2019

Mailing Address

5712 Pirrone Rd

Salida, CA 953689313

Phone: 2095439299

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.